Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shea Aaron Wilson, DMD

Individual provider Dentist · NPI 1265926620

Shea Aaron Wilson, DMD is a Dentist in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

750 Gravois Bluffs Blvd Ste C
Fenton, MO 63026-7720
Phone: (636) 203-4100
Fax: (636) 203-4104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2018018837 (MO)

Record details

NPI number1265926620
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018
Mailing address750 Gravois Bluffs Blvd Ste C, Fenton, MO 63026-7720

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